中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (07): 531-534.

• 专题笔谈 • 上一篇    下一篇

靶向治疗的不良反应及处理

陈闪闪,冯奉仪   

  1. 中国医学科学院协和医科大学肿瘤医院,北京100210
  • 出版日期:2010-07-01 发布日期:2010-06-17

  • Online:2010-07-01 Published:2010-06-17

摘要:

近年来,肿瘤的靶向治疗取得了飞速发展,但是对于靶向治疗药物的毒性和安全性方面的信息还知之甚少。高血压是血管内皮生长因子抑制剂常见的不良反应,而曲妥珠单抗最主要的不良反应为心脏毒性。其他的不良反应有出血、伤口愈合延迟、胃肠道穿孔、皮肤不良反应、手足综合征、黏膜炎、腹泻、蛋白尿等;此外血栓、可逆性后脑白质病综合征少见但十分严重。早期快速诊断、及时停药是决定病人预后的关键。

关键词: 靶向治疗, 肿瘤, 不良反应

Abstract:

Adverse effects of tumor targeted therapies        CHEN Shan-shan,FENG Feng-yi. Chinese Academy of Medical Sciences Cancer Hospital, Peking Union Medical College,Beijing 100210, China
Corresponding  author:FENG Feng-yi ,E-mail:ffy43210@yahoo.com.cn
Abstract    Great advances have been achieved in the field of tumor targeted therapies in the last few years. Hypertension is a vascular endothelial growth factor inhibitor common side effects, and trastuzumab major adverse cardiac toxicity. Other adverse reactions are bleeding, delayed wound healing, gastrointestinal perforation, skin adverse reactions, hand-foot syndrome and mucositis, diarrhea, proteinuria. Thrombosis and reversible posterior leukoencephalopathy syndrome are rare but very serious. Early and rapid diagnosis, timely withdrawal are the keys to determine patient prognosis.

Key words:  , targeted therapy;tumor;adverse effect